Heart Rhythm

Hearts should have normal rhythm to their beats, but when these beats are out of synch, it causes inefficient pumping of blood. Irregular heart arrhythmias occur when the electrical signals that coordinate the heart's beats do not work properly. This can cause beats that are too fast (tachycardia), or too slow (bradycardia). Tachycardias include atrial fibrillation (AFib), supraventricular tachycardia, ventricular fibrillation, and ventricular tachycardia (VT). Bradycardias include sick sinus syndrome and conduction block. Electrophysiology arrhythmia treatments include medications, life style changes, and the EP lab interventions of catheter ablation, and implantable pacemakers or defibrillators.

AJC: Be aware of asymptomatic hypertrophic cardiomyopathy

For patients diagnosed with hypertrophic cardiomyopathy (HC), either incidentally or nonincidentally, and who are diagnosed symptomatically and have a family history of HC have an almost five-fold risk of cardiovascular death, according to a study published May 15 in the American Journal of Cardiology.

HRS: Hansen launches robotic catheter trial for AF

During the Heart Rhythm Society (HRS) 2010 conference in Denver, Hansen Medical announced that the FDA had granted conditional investigational device exemption (IDE) approval, authorizing a clinical trial to investigate use of the Sensei X robotic catheter system and the Artisan control catheter for treatment of atrial fibrillation (AF).

HRS: Faint & fall patients cost Utah $355M yearlymore CV involvement needed

The creation of cost-effective diagnostic approaches including a greater involvement of cardiovascular services in the evaluation of unexplained falls should be considered given the significant magnitude of the problem, based on a Utah case study of patients presenting with faint or fall that was featured May 13 at the 2010 annual conference of the Heart Rhythm Society (HRS) in Denver.

NEJM: Subcutaneous ICDs prove safe, effective in small studies

An entirely subcutaneous implantable cardioverter-defibrillator (S-ICD) consistently detected and converted ventricular fibrillation induced during electrophysiological testing, and the device successfully detected and treated all 12 episodes of spontaneous, sustained ventricular tachyarrhythmia, according to small, nonrandomized studies published online May 12 in the New England Journal of Medicine. Video: HRS President Dr. Richard L. Pages response to the NEJM study.

FDA warns St. Jude for improperly marketing AF ablation devices

The FDA has sent a warning letter to the atrial fibrillation (AF) division of St. Jude Medical for improperly promoting and marketing its Epicor LP cardiac ablation system and the Epicor UltraCinch LP ablation device in the U.S.

HRS: Experts debate doc involvement, quality measures in healthcare reform

DENVERThe six-week-old healthcare reform legislation aroused a heated debate between former Sen. Tom Daschle, D-S.D., NPR journalist Juan Williams and physicians Harlan M. Krumholz, MD, and Richard I. Fogel, MD, who discussed government involvement and the questions that remain about quality measures within clinical practice, during the opening plenary session of the 31st annual conference of the Heart Rhythm Society (HRS) on May 13.

HRS: For ICD patients, blacks die less, whites have less readmission

DENVERRegarding outcomes in patients with implantable cardioverter-defibrillators (ICDs), Caucasians had fewer hospital readmissions and African-Americans had a lower mortality rate, reported Wisconsin researchers during a poster study presentation last week at the 31st annual scientific sessions of the Heart Rhythm Society (HRS).

Q&A: Information Age must get beyond Industrial Age data mgt

The Health IT Standards Committee is charged with identifying and mapping the standards that will enable a functional Nationwide Health Information Network. This is a challenging mission, but its a crucial piece of a 21st century approach to medicine, Jonathan B. Perlin, MD, PhD, chairman of the ONCs Health IT Standards Committee and president of clinical services and chief medical officer of Hospital Corporation of America, based in Nashville, Tenn., recently told CMIO.

Around the web

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.

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